Ida Simonyan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011556 Issued in IL

Practice address

330 N Brand Blvd Ste 110
Glendale, CA 91203-2308

Phone

(708) 423-1515

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greta Torossian, Optometric Corp.

  • Optometrist
  • Glendale, CA
  • NPI 1821152273
  Medicare reassignment
• Advanced Eyecare Professional Optometric Group

  • Optometrist
  • Glendale, CA
  • NPI 1306035118
  NPD
• Brent P. Chinn, OD and David M. Redman, OD, Optometric Group, Inc

  • Optometrist
  • Mountain View, CA
  • NPI 1538497540
  NPD (past)
• North Lake Eyecare Optometry

  • Optometrist
  • Tahoe City, CA
  • NPI 1447580360
  NPD (past)
• The Pilates PT Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Sherman Oaks, CA
  • NPI 1457692410
  NPD (past)
• Lenscrafters

  • Optometrist
  • Schaumburg, IL
  • NPI 1356748594
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1053085175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CHICAGO RIDGE MALL",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152602",
            "telephone_number": "708-423-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "708-423-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONYAN",
        "first_name": "IDA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Simonian
• Stephan Simonian, M.D.
• Vahe Garen Simonian, PHARM D
• Simonwongddsinc
• Grigor Simonyan
• Lusine Simonyan, ND
• Mariam Simonyan
• Lusine Simonyants, M.D.
• Simplifed Medical Ca, P.C.
• Simply Lavish Health and Wellness Anp-C Nursing Corp

• Optometrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.